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PERMIT APPLICATIO <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) =PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 8417 Evergreen Way PROPERTY TAX#: 2804130010490 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: CFT NV Developments, LLC. TENANT NAME(If Commercial): N/A <br /> OWNER MAILING ADDRESS: STREET 1683 Walnut Grove Avenue <br /> CITY Rosemead STATE California ZIP 91770 <br /> OWNER PHONE: (626)372-8526/1626)327-8122 OWNER EMAIL: Charlie.Shen@PandaRG.com <br /> CONTRACTOR NAM • TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQ IREDjkitt.(„J <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR V OTHER(Please Specify) Architect and Planner <br /> CONTACT NAME: Mark McI lvain CONTACT PHONE: (916)451-1500 <br /> CRM Architects& Planners, Inc. CONTACT EMAIL: Markm@crmarchitects.com <br /> BUILDING PERMIT APPLICATION % ;,'""; <br /> Existing Use of Building:Denny's Restaurant/Closed Contract Price of Work:$25,000.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: VCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler 12Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Demolition of existing Restaurant. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1805-010 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: New Addn Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.I am the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the St-1,1 Contractors Law 18.27 RCW and 296.200A WAC. <br /> FARM City of Everett Official Use Only <br /> jDl I S 113 PERMI �w <br /> � �l- 1 <br /> Owner/Autho ,ent Signature Date (Revised 9/23/2016) <br />